Perinatal and Postpartum Mental Health Therapy in Portland, OR
Providing Therapy in VA & OR
Pregnancy and Postpartum Counseling in Portland, OR
Around 1 in 5 women and 1 in 10 men may experience Anxiety or Depression during the Perinatal Period
Motherhood is not supposed to feel this heavy.
If you’re feeling stretched thin, like you are not yourself, overwhelmed, crying more than usual, scared of your own thoughts and exhausted, reach out for help!
Whether you're pregnant, postpartum, or deep in the chaos of motherhood, you may be:
Crying more than usual—and not sure why
Feeling overwhelmed, numb, anxious, or stuck in worst-case scenarios
Wondering why bonding with your baby doesn’t feel natural
Feeling like you are not yourself
Exhausted but unable to sleep
Scared to say how bad it really feels out loud
If this sounds familiar, it’s not your fault. These are real symptoms of Perinatal Mood and Anxiety Disorders (PMADs)—and they are common, treatable, and nothing to be ashamed of.
Areas of Focus
Postpartum Depression
NICU Experiences
Perinatal Loss
Transition to New Mom’s Role
Family History Exploration
Parenting Styles
Work/Life Balance
Infant Mental Health
Toddler Behavior Management
Stay at Home/Back to Work
Get Started with a 15-Minute Consultation
If you are ready to take the 1st step towards a healthier and happier life, I invite you to contact me at geraldine@kuphalMFT.com to book a 15-minute consultation.
With help, you can get well.
About My Approach
As a (PMH-C) Perinatal Mental Health Specialist in Portland, OR, I understand the complexities of Pregnancy, Postpartum, and Early Parenthood.
I am trained to recognize and treat Perinatal Mood and Anxiety Disorders (PMADs), including Postpartum Depression, PP Anxiety, PP OCD, and Birth Trauma. Through evidence-based approaches tailored to your unique experience, I can help you process difficult emotions, reconnect with yourself and your baby, feel confident of your parenting, and reach out for support when needed.
How I’m going to help you:
I am going to create a safe place for you to share this load with someone who can “really listen” and:
Feel less overwhelmed — learning how to manage maternal anxiety and life stress, one step at a time
Sleep better — finding ways to calm your mind so you can rest when you have the chance
Understand your emotions — making sense of the sadness, anger, or numbness you may feel
Cope with Scary Thoughts — we’ll talk about Intrusive Thoughts and find healthy ways to cope with them
Build your support system — moms need support. We’ll work on helping you communicate your needs and reaching out for support.
Processing your birth or postpartum experience — especially if it was difficult or traumatic
Reconnect with yourself— finding your identity beyond just being “the mom”
Feel confident in your parenting — find your parenting style and build trust in yourself and decisions
Enjoy motherhood and bond with your baby
Telehealth Therapy. On your own terms.
No traffic. No rushing. No childcare. Just care.
Therapy that comes to you
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Support that fits your life
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Therapy that comes to you - Support that fits your life -
What It’s Like to Work Together
✔ A safe, judgment-free space to talk about everything—even the things you’re afraid to say out loud
✔ A specialist in pregnancy and postpartum who understands the complex, messy, beautiful layers of motherhood
✔ Tools to help regulate your nervous system, set boundaries, and reconnect with yourself
✔ Flexible scheduling and virtual sessions to meet you where you are ( in pajamas, with your baby on your lap, or even while you change a diaper)
✔You can access virtual teletherapy from home—no travel, no parking, no childcare needed.
Transition to Motherhood
New Parent Identity
Stay Home/Back to Work
Toddler Behavior Management
Age-Appropriate Routines & Discipline
Self-Care for New Parents
Family History Exploration
Anger Management
Work / Life Stress
Life Changes
Birth Trauma
Areas of Support
Continuing to Support Oregonians with OHP/Care Oregon
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Continuing to Support Oregonians with OHP/Care Oregon -
Services & Insurances
Private Pay
Out-Of-Network
OHP - Care Oregon/Health Share
Trillium OHP
Moda Health
Providence Health Plan
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Initial Phone calls are quick 15-20 minutes calls to make sure we are a good fit, answer some questions you might have and schedule an Intake Appointment.
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Diagnostic Evaluations are when you 1st come in and are usually 60-minutes long. They are longer and more pricey as they involve a lot more data gathering and documentation. Together, we will discuss your presenting problem, your current situation and create a treatment plan and goals that fits your needs.
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Follow-up appointments are 50-minutes regular appointments. Client can choose to schedule them weekly or bi-weekly. Clients can choose a flexible schedule or a regular day and time.
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Sliding scale spots available. I always do my best to accommodate clients with no insurance or limited insurance benefits. Don’t hesitate to ask!
I reserve several OHP Insurance Spots for accessibility. And also several Private Pay Spots for clients who prefer flexible personalized therapy without insurance restrictions.
FAQ About Perinatal Therapy
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It’s completely normal to experience emotional ups and downs during Pregnancy and Postpartum — your hormones, body, sleep, and identity are all shifting at once. However, if you are noticing persistent sadness, anxiety, irritability, guilt, panic, or detachment that lasts more than a couple of weeks, or if you don’t feel like yourself, that’s a good time to reach out. Early support can make a big difference in how you heal and can give you some tools to navigate this phase of life.
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Many new and expecting parents feel anxious, sad, or overwhelmed — and wonder if they’re the only ones struggling. You’re not alone. Many moms feel like this. Portland Perinatal and Postpartum Therapy will support you through every stage of the journey — from pregnancy to early parenthood. I can help with:
Postpartum Depression/Anxiety
Perinatal Loss
Birth Trauma
Perinatal OCD
New mom issues
Anger
Relationship Issues
Stress
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I use evidence-based, compassionate approaches tailored to each client’s needs. Common methods include:
Cognitive Behavioral Therapy (CBT) to manage intrusive thoughts, anxiety, and mood changes
Mindfulness and self-compassion practices to ground you in the present and build emotional resilience
Trauma-informed care/EMDR for birth trauma or traumatic experiences
Attachment-based therapy to support bonding and relational health
My approach is collaborative and flexible — we’ll work together to find what feels most helpful for you.
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You don’t need to worry about finding or paying for childcare — babies and children are always welcome in our sessions. In my Postpartum Therapy in Portland, you can attend from the comfort of your own home through secure telehealth. This means no packing up the diaper bag, no rushing to appointments, and no extra expense for a sitter. Telehealth Therapy offers the flexibility your family life needs. Whether you’re feeding your baby, soothing a toddler, or squeezing in self-care during nap time, online Postpartum Therapy in Portland makes it easier to prioritize your mental health while balancing everything else.
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Collaborative
Collaborative means that treatment is a two-way street. We will meet each other halfway, each of us actively participating in the process, to reach our shared goal of overcoming your challenges, whatever they may be.
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Strength-based
Strength-based means that, whether you realize it or not, there are unique aspects of who you are today that work in your favor: your life experience, your skills, your belief system, perhaps even your ethnicity or family history. We will identify these and use them as resources to help you heal.
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Cognitive Behavioral
A cognitive behavioral approach is one that takes into account how your thoughts affect the way you feel about yourself, other and the world. And how these affect your behavior.